门诊森田疗法对产后抑郁初产妇自我效能及睡眠质量的影响

The Effect of Outpatient Morita Therapy on Self-efficacy and Sleep Quality of Primiparous Women with Postpartum Depression

目的:分析门诊森田疗法治疗初产妇产后抑郁(PPD)的效果。方法:选取2022年3月至2023年10月于泉州市妇幼保健院·儿童医院产科门诊就诊的PPD初产妇106例作为研究对象,按照随机数字法随机分为观察组和对照组,每组53例。对照组接受常规心理干预,观察组在常规心理干预基础上接受门诊森田疗法。采用爱丁堡产后抑郁量表(EPDS)与汉密尔顿抑郁量表(HAMD)评估抑郁症状,采用一般自我效能问卷(GSES)评价自我效能,采用匹兹堡睡眠质量指数(PSQI)评价睡眠质量。结果:观察组在8周后EPDS与HAMD评分均低于对照组(P<0.05),观察组有效率为88.7%高于对照组的69.8%(P<0.05)。观察组在8周后GSES高于对照组,PSQI则显著较低(P<0.05)。结论:门诊森田疗法可提升PPD治疗效果,改善患者睡眠质量并提升其自我效能。

Objective:To know the effect of outpatient Morita therapy on postpartum depression(PPD)in primiparous women.Methods:A total of 106 primiparous women with PPD were enrolled and randomly divided into a study group(n=53)and a control group(n=53).The control group received conventional psychological intervention,while the study group received outpatient Morita therapy.The Edinburgh Postnatal Depression(EPDS)and Hamilton Depression Scale(HAMD)were used to evaluate depressive symptoms,the general self-efficacy scale(GSES)was used to evaluate self-efficacy,and the Pittsburgh Sleep Quality Index(PSQI)was used to assess sleep quality.Results:After eight weeks,the EPDS and HAMD scores of the study group were lower than those of the control group(P<0.05),and the effective rate of the study group was higher than that of the control group(88.7%vs.69.8%,P<0.05).After eight weeks,the GSES of the study group was higher than that of the control group,while the PSQI was significantly lower(P<0.05).Conclusion:Outpatient Morita therapy can enhance the effectiveness of PPD treatment,improve patients′sleep quality,and enhance their self-efficacy.